Question

A 34-year-old with amenorrhea, positive pregnancy test, and ultrasound showing no intrauterine pregnancy has β-hCG 3,100 mIU/mL and is hemodynamically stable with no fetal cardiac activity on adnexal mass 2.2 cm. What management is appropriate?

Accepted Answer

Single-dose methotrexate

Answer

Urgent laparotomy

Answer

Expectant management without follow-up

Answer

Immediate D&C

Answer

High-dose progesterone

Practice question

A 34-year-old with amenorrhea, positive pregnancy test, and ultrasound showing no intrauterine pregnancy has β-hCG 3,100 mIU/mL and is hemodynamically stable with no fetal cardiac activity on adnexal mass 2.2 cm. What management is appropriate?